Medication Reconciliation and obtaining a Best Possible Medication History (BPMH) in Primary Care


systematic, consistent process for collecting information about a patient’s
actual medication use is critical for assessing outcomes and preventing
medication errors.  This online learning module,
customized to the primary care environment, provides a practical approach to
teach clinicians how to engage patients and caregivers in a dialogue about
their medications.  Steps to identify and
resolve medication information discrepancies are presented.

At the end of this module you should be able to:

1.      Understand the role of MedRec and how
it affects patient care

2.      Improve your ability to
engage patients and caregivers in discussions to collect a comprehensive BPMH

3.      Apply a consistent approach to
identify and resolve medication discrepancies

4.      Demonstrate
learning through a completion of a case study.

Who should take this module?

Healthcare practitioners working in primary
care including: physicians, nurse practitioners, nurses, pharmacists and
pharmacy technicians, and other allied healthcare professionals involved in the patient’s circle of care.

What is included in
this module?

What is MedRec

Medication issues in primary care

MedRec process including collecting a BPMH

Case study: transitioning from hospital to home

Program Cost:  Single user: CAD $9.95 plus applicable

Organization: CAD $250 plus applicable taxes.  Note:
module can be uploaded to a Learning Management System (LMS) that supports
SCORM 1.2 for organization-wide access.

A Best Possible Medication History
is a history
created using 1) a systematic process of interviewing the client/family; and 2)
a review of at least one other reliable source of information to obtain and
verify all of a client’s medication use (prescribed and non-prescribed). 3)
Complete documentation includes medication name, dosage, route and frequency.
The BPMH is more comprehensive than a routine primary medication history which
may not include multiple sources of information.

Medication Reconciliation is a formal process in which
healthcare providers partner with clients to ensure accurate and complete
medication information transfer at interfaces of care. It involves a systematic
process for obtaining a medication history and using that information to
compare to medication orders in order to identify and resolve discrepancies. It
is designed to prevent potential medication errors and adverse drug events.


ISMP Canada
and Health Quality Ontario (2015). Ontario Primary Care Medication
Reconciliation Guide.